Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $290.30 / $1,058.00	Professional		$197.85	$290.30	$1,058.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.77 / $524.91 / $857.01	Professional		$310.77	$524.91	$857.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.91 / $353.88 / $887.17	Professional		$178.91	$353.88	$887.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $290.30 / $565.90 / $8,909.26	Facility		$290.30	$565.90	$8,909.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $529.13 / $3,405.33	Professional		$351.68	$529.13	$3,405.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $753.08 / $3,908.14	Facility		$453.60	$753.08	$3,908.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $400.89 / $582.37 / $852.43	Professional		$400.89	$582.37	$852.43
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.72 / $439.61 / $810.92	Professional		$307.72	$439.61	$810.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $343.30 / $403.90 / $636.10	Professional		$343.30	$403.90	$636.10